CIRCLE FAMILY CARE


Address: 4909 W Division St, Suite 307, Chicago, IL 60651-3161
Phone: 7733791000

CIRCLE FAMILY CARE (NPI# 1124298492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124298492
Entity Type Organization
Organization Name CIRCLE FAMILY CARE
Practice Address 4909 W Division St
Suite 307
Chicago
IL 60651-3161
Mailing Address 5002 W Madison St
Chicago
IL 60644-4127
Practice Telephone 7733791000
Practice Fax Number 7733791342
Mailing Telephone 7733791000
Mailing Fax Number 7733791342
Enumeration Date 2008-03-03
Last Update Date 2008-04-20
Authorized Official Name MR. REUBEN PETTIFORD (PRESIDENT AND CEO)
Authorized Official Telephone 7733791000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386707743 Circle Family Care Family Medicine 5120 W Jackson, Chicago, IL 60644-4332 2006-12-18
1124134515 Circle Family Care Family Medicine 1633 N Hamlin, Chicago, IL 60647-4607 2006-08-21
1932337805 Circle Family Care Community/Behavioral Health 5002 W Madison St, Chicago, IL 60644-4127 2009-06-30
1851544746 Circle Family Care Community/Behavioral Health 5002 W Madison St, Chicago, IL 60644-4127 2008-10-23
1528239894 Circle Family Care Community/Behavioral Health 5002 W Madison St, Chicago, IL 60644-4127 2008-03-14
1376714642 Circle Family Care Community/Behavioral Health 5002 W Madison St, Chicago, IL 60644-4127 2008-03-14
1174794440 Circle Family Care Community/Behavioral Health 5002 W Madison St, Chicago, IL 60644-4127 2008-03-14
1700969250 Circle Family Care Clinic/Center 4909 W Division St, Suite 307, Chicago, IL 60651-3161 2006-10-20

Office Location

Street Address 4909 W DIVISION ST
SUITE 307
City CHICAGO
State IL
Zip Code 60651-3161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316955651 Rishi Pharmacy Inc Pharmacy 4909 W Division St, Chicago, IL 60651-3161 2006-08-03
1114498052 Golden Rule Dental LLC Dentist 4909 W Division St, Chicago, IL 60651-3161 2018-12-17
1750745816 Chicago City Of Clinical Medical Laboratory 4909 W Division St, Room 41, Chicago, IL 60651-3161 2016-04-05
1093102303 Harmony Family Dental Dentist 4909 W Division St, 409, Chicago, IL 60651-3161 2015-04-24
1518359991 Rodrigue Tinfang Md Family Health Ltd Clinic/Center 4909 W Division St, Suite 503, Chicago, IL 60651-3161 2015-02-23
1053753699 Park West Family Dentistry, PC Dentist 4909 W Division St, #409, Chicago, IL 60651-3161 2013-07-24
1356614739 Claire Marie Delaney Social Worker 4909 W Division St, Suite 404, Chicago, IL 60651-3161 2012-02-16
1124226998 Missy Jean Bundy Psychologist 4909 W Division St, Chicago, IL 60651-3161 2007-07-03
1619024163 Se Sook Sone-jung Pediatrics 4909 W Division St, Chicago, IL 60651-3161 2007-01-05
1700969250 Circle Family Care Clinic/Center 4909 W Division St, Suite 307, Chicago, IL 60651-3161 2006-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215474978 Kanesha Walker Amaro Counselor 5910 W Division, Chicago, IL 60651 2017-01-19
1639628415 Fresenius Medical Care of Illinois, LLC Clinic/Center 3520 West Grand, Chicago, IL 60651 2016-09-22
1326596321 Giselle Tisha Wallace Nurse's Aide 5809 W Rice, Chgo, IL 60651 2016-09-19
1811385214 Jeanette Rodriguez Social Worker 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 2015-01-07
1801147475 Diane Dickens-rogers Massage Therapist 5700 W. Chicago Ave., Chicago, IL 60651 2012-09-24
1891045241 Association House of Chicago Residential Treatment Facility, Emotionally Disturbed Children 1900 North Sawyer Avenue, Chicago, IL 60651 2012-09-13
1770860983 Christine C Osborne Pharmacist 1541 N.central Ave, Chicago, IL 60651 2011-11-16
1629206388 Habilitative Systems Inc Case Management 1049 N Drake Ave, Chicago, IL 60651 2009-07-01
1841428547 Habilitative Systems, Inc. Case Management 4234 W Potomac Ave, Chicago, IL 60651 2009-07-01
1306074000 Habilitative Systems, Inc Case Management 915 N Massasoit Ave, Chicago, IL 60651 2009-07-01
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724390 Friend Family Health Center, Inc Clinic/Center 7355 S Jeffery Blvd, Chicago, IL 60649-3121 2020-06-11
1871117937 Primecare Community Health Inc Clinic/Center 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 2020-06-04
1407482219 Access Community Health Network Clinic/Center 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 2020-03-13
1427600345 The Board of Trustees of The University of Illinois Clinic/Center 6835 S Normal Blvd, Chicago, IL 60621-2535 2019-07-11
1114498540 Pcc Community Wellness Center Clinic/Center 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 2018-12-11
1427523125 Howard Brown Health Center Clinic/Center 3533 W North Ave Ste 1, Chicago, IL 60647-7573 2018-10-09
1336626936 Heartland International Health Center Clinic/Center 1631 W Jonquil Ter, Chicago, IL 60626-1103 2018-07-26
1760975304 Inner-city Muslim Action Network Clinic/Center 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 2018-06-08
1417473851 Howard Brown Health Center Clinic/Center 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 2017-08-17
1487193181 Mile Square Englewood/cook Satellite Health and Wellness Center Clinic/Center 8150 S Bishop St, Chicago, IL 60620-3854 2017-02-15
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Competitor

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City CHICAGO
Zip Code 60651

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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